Active NPI
Erie Fire Protection District
- Ambulance
- Erie, IL
National Provider Identifier
1457425985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 11367
- Legal business name
- ERIE FIRE PROTECTION DISTRICT
- Practice address
- 807 9TH
Erie, IL 61250-0696 - Phone
- (309) 659-7795
- NPI assigned
- Nov 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chad Miner
- Title
- Deputy Director
- Phone
- (309) 659-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 11367 | IL | Primary |
Addresses
Primary practice location
807 9TH
Erie, IL 61250-0696
Mailing address
PO Box 696
Erie, IL 61250-0696
Phone (309) 659-7795
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590003025 | Other | RAILRAOD MEDICARE | |
| 9823097 | Other | IL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080702000046 | IL | Part B Supplier - Ambulance Service Supplier | 0042382343 | Practice locations: Erie, IL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739318400000",
"number": "1457425985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 696",
"city": "ERIE",
"state": "IL",
"postal_code": "612500696",
"telephone_number": "309-659-7795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 9TH",
"city": "ERIE",
"state": "IL",
"postal_code": "612500696",
"telephone_number": "309-659-7795"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ERIE FIRE PROTECTION DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-17",
"last_updated": "2025-02-12",
"certification_date": "2025-02-12",
"status": "A",
"authorized_official_last_name": "MINER",
"authorized_official_first_name": "CHAD",
"authorized_official_title_or_position": "DEPUTY DIRECTOR",
"authorized_official_telephone_number": "309-659-2000"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "IL",
"license": "11367",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILRAOD MEDICARE",
"identifier": "590003025",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "9823097",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Erie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.